Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Facility		$88.76	$88.76	$88.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Facility		$88.76	$88.76	$88.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $231.58 / $79,999.20 / $79,999.20	Facility		$231.58	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $2,400,000.00 / $2,400,000.00	Facility		$88.76	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $225.80 / $318.30 / $909.88	Facility		$225.80	$318.30	$909.88